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Dentin hypersensitivity

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Non-abrasive fluoride-containing toothpastes should be used, at least twice daily for two minutes at a time. The consumption of acidic foods and drinks should be avoided if possible. Otherwise, it should be limited to mealtimes, and afterwards the mouth should be rinsed with still water. Importantly, the teeth should not be brushed immediately after acidic foods or drinks but ideally at least 30 minutes afterwards. It is recommended that anyone who suffers from acid reflux should seek medical treatment as to prevent their mouth being an acidic environment. A non-abrasive diet will also help to prevent tooth wear. Commonly, teeth whitening products can cause sensitivity. However, the increased sensitivity is temporary and should cease within a few days. If any sensitivity is experienced after using a tooth whitening product, taking a break may help.
694:(rapid, sharp, short duration). This discrepancy in range can be explained by DH being underreported due to the difficulties patients face when describing symptoms. The scale of symptoms for DH are so variant, some patients are unable to eat ice cream or drink cold water, whereas for others, discomfort is episodic in nature. Episodic symptoms of DH is the likely reason why some patients fail to report the discomfort. Hence having a negative effect on the number of diagnoses. If a patient does not complain of the symptoms then no additional screening checks are in place for dentin hypersensitivity and often the diagnosis is missed.  It must be remembered that DH is seen as a diagnosis of exclusion. 310:, reached once all other possible explanations for the pain have been ruled out. A thorough patient history and clinical examination are required. The examination includes a pain provocation test by blasting air from a dental instrument onto the sensitive area, or gentle scratching with a dental probe. If a negative result for the pain provocation test occurs, no treatment for dentinal hypersensitivity is indicated and another diagnosis should be sought, such as other causes of 718:. Over time, the dentin-pulp complex may adapt to the decreased insulation by laying down tertiary dentin, thereby increasing the thickness between the pulp and the exposed dentin surface and lessening the symptoms of hypersensitivity. Similar process such as formation of a smear layer (e.g. from toothbrushing) and dentin sclerosis. These physiologic repair mechanisms, which occur at a naturally slow pace, are likely to occur with or without any form of treatment. 702:
periodontal treatment is to reduce the inflammation that presents. Treatment strategies also lead to the removal of cementum, smear layer and exposure of dentinal tubules, furthermore causing DH for patients. Within the elderly generation periodontal disease is more prevalent however, DH is not a common diagnosis in the elderly. DH decreases during 40–50 years, a plausible explanation or this is the result of sclerosing of canals and formation of tertiary dentine.
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those individuals with teeth sensitivity. Movement of dentinal fluid away from the pulp can be caused by triggers such as cold and drying and movement towards the pulp can be caused by heat. Research has shown that triggers causing dentinal fluid to move away from the pulp elicit more of a painful response.
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Dentine hypersensitivity is commonly experienced by patients. Studies reveal prevalence rates can range from 3-98%. Prevalence is found to be higher in patient questionnaire studies, 74%,  over diagnostic studies, 15-30%. Diagnostic studies are where patients are diagnosed on classical symptoms
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materials can be placed over areas of the tooth causing particular sensitivity in order to penetrate the exposed tubules and seal them against the external environment. Duraphat varnish, which is a high concentration fluoride varnish, can be applied at regular intervals to reduce the severity of the
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Nano-hydroxyapatite (nano-HAp) is considered one of the most biocompatible and bioactive materials and has gained wide acceptance in dentistry in recent years. An increasing number of reports have shown that nano-hydroxyapatite shares characteristics with the natural building blocks of enamel having
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when the pulp is still capable of returning to a healthy, non-inflamed state, although usually dental treatment is required for this. Irreversible pulpitis is readily distinguishable from DH. There is poorly localized, severe pain which is aggravated by thermal stimuli, and which continues after the
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present on nerves located at the pulpal aspect, thereby eliciting a pain response. This hydrodynamic flow can be increased by cold, (air pressure), drying, sugar, sour (dehydrating chemicals), or forces acting on to the tooth. Hot or cold food or drinks, and physical pressure are typical triggers in
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DH can present on several teeth in the whole of the mouth, on teeth in one part of the mouth or on a single tooth. Premolars and canines tend to present with hypersensitivity more readily followed by molars5, this is true for upper and lower arches. Maxillary teeth are more commonly affected. Sites
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ranges from 4-74%. Dentists may under-report dentin hypersensitivity due to difficulty in diagnosing and managing the condition. When questionnaires are used, the reported incidence is usually higher than when clinical examination is used. Overall, it is estimated to affect about 15% of the general
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Although DH affects all age groups, varying from 20–50 years, it most commonly peaks between 30–40 years. Females are more affected by DH. It can be said that this is due to females having diets high in erosive acids and diligent oral hygiene methods. Another contributing factor to this theory, is
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Potassium-containing toothpastes are common; however, the mechanism by which they may reduce hypersensitivity is unclear. Animal research has demonstrated that potassium ions placed in deep dentin cavities cause nerve depolarization and prevent re-polarization. It is not known if this effect would
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A large number of DH cases are linked to periodontal disease and follow as a result of periodontal treatment. Surgical and non-surgical periodontal treatment is said to have the same effect on DH. As part of the periodontitis disease process, recession and root exposure are prevalent. The aim of
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or by prescription. OTC products are more suited for generalized, mild to moderate dentin hypersensitivity associated with several teeth, and in-office treatments for localized, severe DH associated with one or two teeth. Non-invasive, simple treatments which can be carried out at home should be
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the potential, due to its particle size, to occlude exposed dentinal tubules helping to reduce hypersensitivity and enhancing teeth remineralization. For this reason, the number of toothpastes and mouthwashes that already incorporate nano-hydroxyapatite as a desensitizing agent is increasing.
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Studies have found that mouthwashes containing potassium salts and fluorides can reduce dentine hypersensitivity. A randomized clinical trial published in 2018 found promising results in controlling and reducing hypersensitivity when potassium oxalate mouthrinse was used in conjugation with
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have been available since at least 2000. It is believed that potassium ions diffuse along the dentinal tubules to inactivate intradental nerves. However, as of 2000, this has not been confirmed in intact human teeth and the desensitizing mechanism of potassium-containing toothpastes remains
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There is no universally accepted, gold-standard treatment which reliably relieves the pain of dental hypersensitivity in the long term, and consequently many treatments have been suggested which have varying degrees of efficacy when scientifically studied. Generally, they can be divided into
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practices. Using a non-traumatic toothbrushing technique (i.e. a recommended technique such as the modified Bass technique rather than indiscriminately brushing the teeth and gums in a rough scrubbing motion) will help prevent receding gums and tooth wear around the cervical margin of teeth.
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The most commonly accepted model is called the hydrodynamic or fluid movement theory proposed by Brannstrom in 1964. According to this theory, when the exposed dentine surface is subjected to thermal, chemical, tactile or evaporative stimuli, the flow of the fluid within the tubules will be
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occur with the twice-daily, transient and small increase in potassium ions in saliva that brushing with potassium-containing toothpaste creates. In individuals with dentin hypersensitivity associated with exposed root surfaces, brushing twice daily with toothpaste containing 5%
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The pain is sharp and sudden, in response to an external stimulus. The most common trigger is cold, with 75% of people with hypersensitivity reporting pain upon application of a cold stimulus. Other types of stimuli may also trigger pain in dentin hypersensitivity, including:
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that females attend the dentist on a more regular basis, discuss health problems more readily than males which can lead to some bias in the DH being more prevalent in females. Hence the findings from some studies that DH does not significantly affect females over males.
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It can affect people of any age, although those aged 20–50 years are more likely to be affected. Females are slightly more likely to develop dentin hypersensitivity compared to males. The condition is most commonly associated with the maxillary and mandibular
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or excessive consumption of acidic foods and drinks. Repeated exposures to a low pH cause the mineral content of the teeth on the outer layer of enamel to dissolve therefore leaving the dentine exposed and leading to hypersensitivity. Other causes include
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The real cause of dentine hypersensitivity is controversial. There have been several theories put forward to try and explain the cause of dentine hypersensitivity. These include the odontoblastic transduction theory, the neural theory and the
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or grinding of teeth. Evidence of abfraction may be shown by wedge shaped defects that are developed at the cervical region of the teeth known as abfraction lesions. There is no direct relationship between abfraction lesions and diet,
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Tooth decay is one of the most common causes of sensitive teeth. When the enamel on the surface of the tooth is worn away or eroded, the underlying dentin becomes exposed. This can cause sensitivity to hot, cold, or sweet foods and
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Gum disease can cause sensitive teeth by exposing the roots of the teeth. As gum disease progresses, the gums may begin to recede, exposing the sensitive roots of the teeth. This can cause pain and discomfort when eating or
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is a relatively new technology in toothpaste formulations. BioMin, a bioactive glass of calcium fluoro phosphosilicate, provides faster and longer lasting relief against sensitivity through deep tubular occlusion.
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uncertain. Since 2000, several trials have shown that potassium-containing toothpastes can be effective in reducing dentin hypersensitivity, although rinsing the mouth after brushing may reduce their efficacy.
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stimulus is removed. There also is typically spontaneous pain without any stimulus. Reversible pulpitis may not be so readily distinguishable from DH, however usually there will be some obvious sign such as a
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Certain dental procedures, such as composite fillings, teeth whitening or root canals, can cause temporary sensitivity in the teeth. This is usually a short-term problem that goes away within a few days or
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toothbrushing. As of 2006, no controlled study of the effects of chewing gum containing potassium chloride has been made, although it has been reported as significantly reducing dentine hypersensitivity.
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The purported mechanism of action of these treatments is either occlusion of dentin tubules (e.g. resins, varnishes, toothpastes) or desensitization of nerve fibres/blocking the neural transmission (e.g.
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Most experts on this topic state that the pain of DH is in reality a normal, physiologic response of the nerves in a healthy, non-inflamed dental pulp in the situation where the insulating layers of
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Tooth damage, such as chips, cracks, or fractures, can also cause sensitive teeth. When the enamel is damaged, the dentin is exposed, causing sensitivity to hot, cold, or sweet foods and beverages.
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Gingival recession and cervical tooth wear are a few of the main causes of dentine hypersensitivity, as they lead to the exposure of dentinal tubules. This can be avoided by healthy dietary and
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act as receptor cells, and conduct impulses via synaptic junctions to the end of the nerves and therefore cause the feeling of pain. However, there is not much evidence to support this theory.
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The neural theory proposes that thermal or mechanical stimuli can directly influence nerve endings within the dentinal tubules via direct communication with the nerve endings of the pulp.
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In-clinic treatments can include the placement of materials to seal dental tubules or the wearing of appliances at night if the cause of the sensitivity stems from night-time grinding.
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layer and smear layer. Receding gums can be a sign of long-term trauma from excessive or forceful toothbrushing or abrasive toothpaste (dental abrasion), or a sign of
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reported that these individuals' subjective report of sensitivity did not significantly change after six to eight weeks of using the potassium nitrate toothpaste.
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A degree of dentin sensitivity is normal, but pain is not usually experienced in everyday activities like drinking a cooled drink. Therefore, although the terms
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Canadian Advisory Board on Dentin Hypersensitivity (2003). "Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity".
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Dentin hypersensitivity is a relatively common condition. Due to differences in populations studied and methods of detection, the reported
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Grinding of teeth presents a risk of sensitive teeth as it, can wear away the enamel on the teeth, exposing the dentin.
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cell showing odontoblast process (not in proportion – in reality this process is far longer than the body of the cell).
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Desensitizing toothpastes containing potassium nitrate have been used since the 1980s while toothpastes with
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Braennstroem, M.; Astroem, A. (July 1964). "A Study on the Mechanism of Pain Elicited from the Dentin".
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for six to eight weeks reduces reported sensitivity to tactile, thermal and air blast stimuli. However,
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are used interchangeably to refer to dental hypersensitivity, the latter term is the more accurate.
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The odontoblastic transduction theory was suggested by Rapp et al. and puts forward the idea that
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A variety of toothpastes are marketed for dentin hypersensitivity, including compounds such as
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Thermal – hot and cold drinks and foods, cold air, coolant water jet from a dental instrument.
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teeth on the facial (buccal) aspect, especially in areas of periodontal attachment loss.
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Cross section of a tooth. Non-dentin layer is covered by enamel or cementum and gingiva.
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Sensitive dentin, dentin sensitivity, cervical sensitivity, cervical hypersensitivity
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and cementum have been lost; i.e., dentin hypersensitivity is not a true form of
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Poulsen, Sven; Errboe, Marie; Lescay Mevil, Yamila; Glenny, Anne-Marie (2006).
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Chemical – acids, e.g. dietary, gastric, acid etch during dental treatments.
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Fluid movement inside the dentinal tubules may be away from or towards the
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surfaces in response to stimuli, typically thermal, evaporative, tactile,
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which is sharp in character and of short duration, arising from exposed
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At-home treatments include desensitizing toothpastes or dentifrices,
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The frequency and severity with which the pain occurs are variable.
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Hargreaves KM, Cohen S (editors), Berman LH (web editor) (2010).
661: 518: 225: 71: 137: 3207: 2679: 2267: 1862: 1589: 1036:"Potassium containing toothpastes for dentine hypersensitivity" 1033: 638: 633: 67: 350:. In contrast to pulpitis, the pain of DH is short and sharp. 706:
of teeth affected are cervical aspect buccal sites on teeth.
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due to compression of the venous microcirculation and tissue
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Mechanical–tactile – dental probe during dental examination,
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Schmidlin, Patrick R.; Sahrmann, Phlipp (30 December 2012).
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Here are some of the most common causes of sensitive teeth:
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There are two common ways in which dentine can be exposed;
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Miglani, Sanjay; Aggarwal, Vivek; Ahuja, Bhoomika (2010).
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Miglani, Sanjay; Aggarwal, Vivek; Ahuja, Bhoomika (2010).
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Splieth, Christian H.; Tachou, Aikaterini (March 2013).
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attempted before in-office procedures are carried out.
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in-office (i.e. intended to be applied by a dentist or
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when pulpal inflammation will irreversibly progress to
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Davari, AR; Ataei, E; Assarzadeh, H (September 2013).
1150:"Dentin hypersensitivity: Recent trends in management" 827:"Dentin hypersensitivity: Recent trends in management" 1260: 1644: 1567: 1147: 1421: 1419: 1209: 3058:Jaw joints, chewing muscles and bite abnormalities 1921: 1314: 1312: 1310: 1308: 1306: 122:Evaporation – air blast from a dental instrument. 3626: 2258: 1416: 1369: 1367: 714:Dentin hypersensitivity may affect individuals' 634:Neodymium:yttrium aluminum garnet (Nd:YAG) laser 306:The diagnosis of DH may be challenging. It is a 3413:Teeth, jaws, tongue and associated soft tissues 1514: 1512: 1510: 1376:"Current management of dentin hypersensitivity" 1089: 1087: 1085: 1083: 1081: 1079: 2025:Hereditary benign intraepithelial dyskeratosis 1452: 1450: 1448: 1446: 1303: 820: 818: 816: 814: 812: 119:Osmotic – hypertonic solutions such as sugars. 2983:Neuralgia-inducing cavitational osteonecrosis 1630: 1456: 1364: 1029: 1027: 1025: 1023: 1021: 810: 808: 806: 804: 802: 800: 798: 796: 794: 792: 644:Erbium-yttrium aluminum garnet (Er:YAG) laser 493:Treatments used for dentin hypersensitivity. 1507: 1076: 1443: 884: 880: 878: 876: 874: 872: 1637: 1623: 1018: 1000:Journal of the Canadian Dental Association 944: 942: 940: 938: 936: 934: 932: 789: 1490: 1459:"Epidemiology of dentin hypersensitivity" 1399: 1356:CS1 maint: multiple names: authors list ( 1286: 1183: 1165: 1119: 1093: 1059: 974: 912: 902: 852: 842: 869: 639:Galium-aluminium-arsenide (GaAlAs) laser 144: 136: 3610:Oral manifestations of systemic disease 2759:Acute necrotizing ulcerative gingivitis 1094:Petersson, Lars G. (28 December 2012). 1040:Cochrane Database of Systematic Reviews 929: 3627: 2796:As a manifestation of systemic disease 1518: 665:symptoms of dentine hypersensitivity. 207:(gum disease). A less common cause is 3583: 3482: 3406: 3164: 3043: 2829: 2619: 2257: 1920: 1860: 1748: 1656: 1618: 1205: 1203: 885:Karim, B. F. A; Gillam, D. G (2013). 92: 2642:Gums and tooth-supporting structures 1143: 1141: 1139: 948: 745: 652: 114:periodontal scaling and root planing 3293:Papillary cystadenoma lymphomatosum 3165: 3136:Temporomandibular joint dysfunction 767: 13: 2410:Maxillary lateral incisor agenesis 1894:Inflammatory papillary hyperplasia 1200: 949:Türp, Jens C. (28 December 2012). 891:International Journal of Dentistry 660:Fissure sealants, resin, or glass 14: 3656: 1563: 1154:Journal of Conservative Dentistry 1136: 831:Journal of Conservative Dentistry 400: 3512:Cutaneous sinus of dental origin 3449:Obesity hypoventilation syndrome 3444:Central hypoventilation syndrome 3326:Carcinoma ex pleomorphic adenoma 2754:Necrotizing periodontal diseases 2734:Hereditary gingival fibromatosis 1646:Oral and maxillofacial pathology 3358:Chronic sclerosing sialadenitis 2995:Osteoporotic bone marrow defect 2449:Keratocystic odontogenic tumour 1254: 668: 213:gastroesophageal reflux disease 3343:Sclerosing polycystic adenosis 3178:Benign lymphoepithelial lesion 1519:Gillam, David G (2017-01-02). 1052:10.1002/14651858.CD001476.pub2 991: 777:. National Library of Medicine 541:Strontium chloride hexahydrate 438:calcium sodium phosphosilicate 346:, crack, etc. which indicates 1: 3537:Melkersson–Rosenthal syndrome 3486:Soft tissues around the mouth 3183:Ectopic salivary gland tissue 738: 353: 16:Sharp, short-lived tooth pain 2707:Gingival cyst of the newborn 2316:Failure of eruption of teeth 2020:Hand, foot and mouth disease 2005:Focal epithelial hyperplasia 1943:Angina bullosa haemorrhagica 1889:Palatal cysts of the newborn 1812:Transient lingual papillitis 1463:Clinical Oral Investigations 1380:Clinical Oral Investigations 1321:Cohen's pathways of the pulp 1224:10.1177/00220345640430041601 1100:Clinical Oral Investigations 955:Clinical Oral Investigations 709: 498:Intended mechanism of action 366: 301: 7: 3235:Salivary gland diverticulum 3198:Necrotizing sialometaplasia 2209:Smokeless tobacco keratosis 2121:Basaloid squamous carcinoma 755:. World Health Organization 721: 678:population to some degree. 10: 3661: 3245:Salivary gland hyperplasia 3193:HIV salivary gland disease 2702:Gingival cyst of the adult 2148:Oral florid papillomatosis 1861: 1749: 1537:10.12968/denu.2017.44.1.33 1212:Journal of Dental Research 775:"Medical Subject Headings" 3590: 3584: 3579: 3492: 3484:Orofacial soft tissues – 3478: 3419: 3402: 3250:Salivary gland hypoplasia 3173: 3160: 3064: 3039: 2978:Bisphosphonate-associated 2872:Idiopathic osteosclerosis 2847: 2825: 2648: 2615: 2343:Dentinogenesis imperfecta 2279: 2253: 1933: 1916: 1869: 1856: 1807:Median rhomboid glossitis 1757: 1744: 1665: 1652: 1571: 1475:10.1007/s00784-012-0889-8 1392:10.1007/s00784-012-0912-0 1112:10.1007/s00784-012-0916-9 967:10.1007/s00784-012-0913-z 728:Remineralization of teeth 548:Plugging dentinal tubules 492: 132: 37: 29: 24: 3557:Orofacial granulomatosis 3336:Mucoepidermoid carcinoma 3321:Adenoid cystic carcinoma 3255:Salivary gland neoplasms 3046:Temporomandibular joints 3017:Periapical periodontitis 2749:Linear gingival erythema 2517:Regional odontodysplasia 2363:Enamel hypocalcification 1657: 568:Silver diammine fluoride 3454:Obstructive sleep apnea 3220:Salivary duct stricture 3000:Paget's disease of bone 2497:Pulp canal obliteration 2338:Dentin hypersensitivity 2284:Amelogenesis imperfecta 2136:Squamous cell carcinoma 2116:Adenosquamous carcinoma 2103:Squamous cell papilloma 2080:Melanocytic oral lesion 1167:10.4103/0972-0707.73385 844:10.4103/0972-0707.73385 733:The hydrodynamic theory 596:Dentin adhesive sealers 52:Dentin hypersensitivity 25:Dentin hypersensitivity 3600:Hemifacial hypertrophy 3567:Pyostomatitis vegetans 3240:Salivary gland fistula 3230:Salivary gland atresia 3225:Salivary gland aplasia 3079:Mandibular dislocation 3050:muscles of mastication 2928:Calcifying odontogenic 2557:Vertical root fracture 2552:Cracked tooth syndrome 2527:Shovel-shaped incisors 2422:Wisdom tooth impaction 2304:Early childhood caries 2170:Benign mucous membrane 2131:Spindle cell carcinoma 2040:Intraoral dental sinus 1958:Burning mouth syndrome 308:diagnosis of exclusion 154: 142: 3409:Stomatognathic system 3311:Acinic cell carcinoma 2933:Glandular odontogenic 2085:Molluscum contagiosum 620:Dentin bonding agents 610:Glass ionomer cements 590:(SiO2–P2O5–CaO–Na2O) 506:Nerve desensitization 424:, strontium acetate, 205:chronic periodontitis 148: 140: 107:electric pulp testers 3552:Oral Crohn's disease 3507:Basal cell carcinoma 3146:Condylar hyperplasia 3131:Maxillary hypoplasia 2697:Gingival enlargement 2630:periodontal ligament 2236:Verruciform xanthoma 1968:Condyloma acuminatum 1267:Journal of Dentistry 317:Inflammation of the 3562:Perioral dermatitis 3298:Pleomorphic adenoma 3278:Monomorphic adenoma 3268:Canalicular adenoma 3141:Condylar hypoplasia 3074:Condylar resorption 2918:Lateral periodontal 2877:Mandibular fracture 2776:Periodontal abscess 2373:Turner's hypoplasia 2141:Verrucous carcinoma 2090:Morsicatio buccarum 2070:Lupus erythematosus 1983:Erythema multiforme 1899:Stomatitis nicotina 904:10.1155/2013/573258 600:Fluoride varnishes 448:are also marketed. 235:periodontal disease 160:hydrodynamic theory 3605:Facial hemiatrophy 3459:Periodic breathing 3390:Sjögren's syndrome 3263:Basal cell adenoma 3027:Torus mandibularis 3005:Periapical abscess 2988:Osteoradionecrosis 2913:Buccal bifurcation 2892:Intraosseous cysts 2781:Periodontal trauma 2685:Pyogenic granuloma 2532:Supernumerary root 2485:Pulp calcification 2473:Premature eruption 2444:Odontogenic tumors 2241:White sponge nevus 2214:Submucous fibrosis 2158:Smoker's melanosis 2045:Irritation fibroma 1884:High-arched palate 1792:Foliate papillitis 1782:Cunnilingus tongue 1767:Black hairy tongue 1697:Congenital lip pit 1349:has generic name ( 563:Strontium chloride 465:potassium chloride 422:strontium chloride 387:potassium chloride 295:Grinding of teeth: 288:Dental procedures: 193:gingival recession 155: 143: 93:Signs and symptoms 83:dentin sensitivity 3622: 3621: 3618: 3617: 3575: 3574: 3474: 3473: 3398: 3397: 3303:Sebaceous adenoma 3156: 3155: 3035: 3034: 2946:Median mandibular 2941:Nasopalatine duct 2857:Alveolar osteitis 2821: 2820: 2808:Perio-endo lesion 2690:Congenital epulis 2611: 2610: 2368:Enamel hypoplasia 2249: 2248: 2224:Riga–Fede disease 2075:Melanocytic nevus 2015:Hairy leukoplakia 1978:Epulis fissuratum 1912: 1911: 1852: 1851: 1802:Geographic tongue 1740: 1739: 1612: 1611: 1330:978-0-323-06489-7 653:In-clinic therapy 650: 649: 588:Bioactive glasses 583:Calcium carbonate 578:Calcium phosphate 573:Potassium oxalate 558:Stannous fluoride 511:Potassium nitrate 469:potassium citrate 454:potassium nitrate 430:calcium carbonate 395:potassium nitrate 391:potassium citrate 49: 48: 19:Medical condition 3652: 3581: 3580: 3480: 3479: 3404: 3403: 3273:Ductal papilloma 3162: 3161: 3041: 3040: 2938:Non-odontogenic: 2923:Globulomaxillary 2862:Buccal exostosis 2827: 2826: 2771:Peri-implantitis 2617: 2616: 2333:Dentin dysplasia 2255: 2254: 2231:Verruca vulgaris 2126:Mucosal melanoma 1973:Darier's disease 1948:Behçet's disease 1918: 1917: 1874:Bednar's aphthae 1858: 1857: 1746: 1745: 1732:Trumpeter's wart 1654: 1653: 1639: 1632: 1625: 1616: 1615: 1569: 1568: 1557: 1556: 1516: 1505: 1504: 1494: 1469:(Suppl 1): 3–8. 1454: 1441: 1440: 1438: 1437: 1431:cats.uthscsa.edu 1423: 1414: 1413: 1403: 1371: 1362: 1361: 1354: 1348: 1344: 1342: 1334: 1316: 1301: 1300: 1290: 1258: 1252: 1251: 1207: 1198: 1197: 1187: 1169: 1145: 1134: 1133: 1123: 1091: 1074: 1073: 1063: 1031: 1016: 1015: 995: 989: 988: 978: 946: 927: 926: 916: 906: 882: 867: 866: 856: 846: 822: 787: 786: 784: 782: 771: 765: 764: 762: 760: 749: 490: 489: 440:. Desensitizing 378:over-the-counter 374:dental therapist 222:dental bleaching 175:mechanoreceptors 116:, toothbrushing. 87:sensitive dentin 22: 21: 3660: 3659: 3655: 3654: 3653: 3651: 3650: 3649: 3625: 3624: 3623: 3614: 3586: 3571: 3527:Ludwig's angina 3488: 3470: 3429:Mouth breathing 3415: 3394: 3215:Pneumoparotitis 3188:Frey's syndrome 3169: 3167:Salivary glands 3152: 3060: 3031: 3010:Phoenix abscess 2843: 2839:hard tissues – 2817: 2739:Hypercementosis 2658:Cementoblastoma 2644: 2607: 2321:Dens evaginatus 2275: 2245: 2197:Denture-related 2182:Plasmoacanthoma 2108:Keratoacanthoma 1929: 1927:Lining of mouth 1908: 1904:Torus palatinus 1865: 1848: 1829:Lingual thyroid 1787:Fissured tongue 1777:Crenated tongue 1753: 1736: 1722:Nasolabial cyst 1707:Herpes labialis 1661: 1648: 1643: 1613: 1608: 1607: 1580: 1566: 1561: 1560: 1517: 1508: 1455: 1444: 1435: 1433: 1425: 1424: 1417: 1372: 1365: 1355: 1346: 1345: 1336: 1335: 1331: 1317: 1304: 1259: 1255: 1208: 1201: 1146: 1137: 1092: 1077: 1046:(3): CD001476. 1032: 1019: 996: 992: 947: 930: 883: 870: 823: 790: 780: 778: 773: 772: 768: 758: 756: 751: 750: 746: 741: 724: 716:quality of life 712: 671: 655: 553:Sodium fluoride 403: 369: 356: 331:pulpal necrosis 304: 135: 95: 20: 17: 12: 11: 5: 3658: 3648: 3647: 3645:Orofacial pain 3642: 3637: 3620: 3619: 3616: 3615: 3613: 3612: 3607: 3602: 3597: 3595:Eagle syndrome 3591: 3588: 3587: 3577: 3576: 3573: 3572: 3570: 3569: 3564: 3559: 3554: 3549: 3544: 3539: 3534: 3529: 3524: 3519: 3517:Cystic hygroma 3514: 3509: 3504: 3499: 3493: 3490: 3489: 3476: 3475: 3472: 3471: 3469: 3468: 3463: 3462: 3461: 3456: 3451: 3446: 3441: 3431: 3426: 3420: 3417: 3416: 3400: 3399: 3396: 3395: 3393: 3392: 3387: 3385:Sialolithiasis 3382: 3377: 3372: 3367: 3362: 3361: 3360: 3355: 3345: 3340: 3339: 3338: 3333: 3328: 3323: 3318: 3316:Adenocarcinoma 3313: 3305: 3300: 3295: 3290: 3285: 3283:Myoepithelioma 3280: 3275: 3270: 3265: 3252: 3247: 3242: 3237: 3232: 3227: 3222: 3217: 3212: 3211: 3210: 3200: 3195: 3190: 3185: 3180: 3174: 3171: 3170: 3158: 3157: 3154: 3153: 3151: 3150: 3149: 3148: 3143: 3133: 3128: 3127: 3126: 3121: 3116: 3111: 3106: 3101: 3096: 3091: 3081: 3076: 3071: 3065: 3062: 3061: 3037: 3036: 3033: 3032: 3030: 3029: 3024: 3019: 3014: 3013: 3012: 3002: 2997: 2992: 2991: 2990: 2985: 2980: 2970: 2965: 2960: 2959: 2958: 2956:Traumatic bone 2953: 2951:Median palatal 2948: 2943: 2935: 2930: 2925: 2920: 2915: 2910: 2905: 2889: 2884: 2879: 2874: 2869: 2864: 2859: 2854: 2848: 2845: 2844: 2823: 2822: 2819: 2818: 2816: 2815: 2810: 2805: 2804: 2803: 2798: 2793: 2783: 2778: 2773: 2768: 2763: 2762: 2761: 2751: 2746: 2744:Hypocementosis 2741: 2736: 2731: 2730: 2729: 2724: 2719: 2709: 2704: 2699: 2694: 2693: 2692: 2687: 2677: 2672: 2667: 2666: 2665: 2655: 2649: 2646: 2645: 2613: 2612: 2609: 2608: 2606: 2605: 2604: 2603: 2598: 2593: 2588: 2578: 2577: 2576: 2566: 2565: 2564: 2559: 2554: 2549: 2539: 2534: 2529: 2524: 2519: 2514: 2509: 2504: 2499: 2494: 2493: 2492: 2482: 2481: 2480: 2478:Neonatal teeth 2470: 2465: 2464: 2463: 2453: 2452: 2451: 2441: 2436: 2431: 2426: 2425: 2424: 2414: 2413: 2412: 2402: 2397: 2392: 2387: 2382: 2377: 2376: 2375: 2365: 2360: 2358:Ectopic enamel 2355: 2350: 2345: 2340: 2335: 2330: 2329: 2328: 2318: 2313: 2308: 2307: 2306: 2296: 2291: 2286: 2280: 2277: 2276: 2251: 2250: 2247: 2246: 2244: 2243: 2238: 2233: 2228: 2227: 2226: 2216: 2211: 2206: 2205: 2204: 2199: 2194: 2184: 2179: 2174: 2173: 2172: 2162: 2161: 2160: 2153:Oral melanosis 2150: 2145: 2144: 2143: 2138: 2133: 2128: 2123: 2118: 2110: 2105: 2092: 2087: 2082: 2077: 2072: 2067: 2062: 2057: 2052: 2047: 2042: 2037: 2032: 2027: 2022: 2017: 2012: 2007: 2002: 2001: 2000: 1990: 1985: 1980: 1975: 1970: 1965: 1960: 1955: 1953:Bohn's nodules 1950: 1945: 1940: 1938:Amalgam tattoo 1934: 1931: 1930: 1914: 1913: 1910: 1909: 1907: 1906: 1901: 1896: 1891: 1886: 1881: 1876: 1870: 1867: 1866: 1854: 1853: 1850: 1849: 1847: 1846: 1841: 1836: 1831: 1826: 1821: 1816: 1815: 1814: 1809: 1804: 1794: 1789: 1784: 1779: 1774: 1769: 1764: 1758: 1755: 1754: 1742: 1741: 1738: 1737: 1735: 1734: 1729: 1724: 1719: 1714: 1709: 1704: 1699: 1694: 1689: 1688: 1687: 1682: 1677: 1666: 1663: 1662: 1650: 1649: 1642: 1641: 1634: 1627: 1619: 1610: 1609: 1606: 1605: 1594: 1581: 1576: 1575: 1573: 1572:Classification 1565: 1564:External links 1562: 1559: 1558: 1506: 1442: 1415: 1363: 1329: 1302: 1273:(3): 136–145. 1253: 1218:(4): 619–625. 1199: 1160:(4): 218–224. 1135: 1075: 1017: 1006:(4): 221–226. 990: 928: 868: 788: 766: 743: 742: 740: 737: 736: 735: 730: 723: 720: 711: 708: 670: 667: 654: 651: 648: 647: 630: 624: 623: 597: 593: 592: 549: 545: 544: 531:Silver nitrate 526:Glutaraldehyde 522: 515: 514: 507: 503: 502: 499: 495: 494: 434:hydroxyapatite 402: 401:Home treatment 399: 368: 365: 355: 352: 344:carious cavity 312:orofacial pain 303: 300: 299: 298: 292: 285: 279: 272: 134: 131: 127: 126: 123: 120: 117: 110: 103: 94: 91: 76:dental disease 47: 46: 41: 35: 34: 31: 27: 26: 18: 15: 9: 6: 4: 3: 2: 3657: 3646: 3643: 3641: 3640:Sensitivities 3638: 3636: 3633: 3632: 3630: 3611: 3608: 3606: 3603: 3601: 3598: 3596: 3593: 3592: 3589: 3582: 3578: 3568: 3565: 3563: 3560: 3558: 3555: 3553: 3550: 3548: 3545: 3543: 3540: 3538: 3535: 3533: 3530: 3528: 3525: 3523: 3520: 3518: 3515: 3513: 3510: 3508: 3505: 3503: 3500: 3498: 3497:Actinomycosis 3495: 3494: 3491: 3487: 3481: 3477: 3467: 3464: 3460: 3457: 3455: 3452: 3450: 3447: 3445: 3442: 3440: 3437: 3436: 3435: 3432: 3430: 3427: 3425: 3422: 3421: 3418: 3414: 3410: 3405: 3401: 3391: 3388: 3386: 3383: 3381: 3378: 3376: 3375:Sialodochitis 3373: 3371: 3368: 3366: 3363: 3359: 3356: 3354: 3351: 3350: 3349: 3346: 3344: 3341: 3337: 3334: 3332: 3329: 3327: 3324: 3322: 3319: 3317: 3314: 3312: 3309: 3306: 3304: 3301: 3299: 3296: 3294: 3291: 3289: 3286: 3284: 3281: 3279: 3276: 3274: 3271: 3269: 3266: 3264: 3261: 3258: 3257: 3256: 3253: 3251: 3248: 3246: 3243: 3241: 3238: 3236: 3233: 3231: 3228: 3226: 3223: 3221: 3218: 3216: 3213: 3209: 3206: 3205: 3204: 3201: 3199: 3196: 3194: 3191: 3189: 3186: 3184: 3181: 3179: 3176: 3175: 3172: 3168: 3163: 3159: 3147: 3144: 3142: 3139: 3138: 3137: 3134: 3132: 3129: 3125: 3122: 3120: 3117: 3115: 3112: 3110: 3107: 3105: 3102: 3100: 3097: 3095: 3092: 3090: 3087: 3086: 3085: 3082: 3080: 3077: 3075: 3072: 3070: 3067: 3066: 3063: 3059: 3055: 3054:malocclusions 3051: 3047: 3042: 3038: 3028: 3025: 3023: 3022:Stafne defect 3020: 3018: 3015: 3011: 3008: 3007: 3006: 3003: 3001: 2998: 2996: 2993: 2989: 2986: 2984: 2981: 2979: 2976: 2975: 2974: 2973:Osteonecrosis 2971: 2969: 2968:Osteomyelitis 2966: 2964: 2961: 2957: 2954: 2952: 2949: 2947: 2944: 2942: 2939: 2936: 2934: 2931: 2929: 2926: 2924: 2921: 2919: 2916: 2914: 2911: 2909: 2906: 2904: 2901: 2899: 2895: 2894: 2893: 2890: 2888: 2885: 2883: 2880: 2878: 2875: 2873: 2870: 2868: 2865: 2863: 2860: 2858: 2855: 2853: 2850: 2849: 2846: 2842: 2841:Bones of jaws 2838: 2834: 2828: 2824: 2814: 2811: 2809: 2806: 2802: 2799: 2797: 2794: 2792: 2789: 2788: 2787: 2786:Periodontitis 2784: 2782: 2779: 2777: 2774: 2772: 2769: 2767: 2766:Pericoronitis 2764: 2760: 2757: 2756: 2755: 2752: 2750: 2747: 2745: 2742: 2740: 2737: 2735: 2732: 2728: 2725: 2723: 2722:Granulomatous 2720: 2718: 2715: 2714: 2713: 2710: 2708: 2705: 2703: 2700: 2698: 2695: 2691: 2688: 2686: 2683: 2682: 2681: 2678: 2676: 2675:Eruption cyst 2673: 2671: 2668: 2664: 2661: 2660: 2659: 2656: 2654: 2651: 2650: 2647: 2643: 2639: 2635: 2631: 2627: 2623: 2618: 2614: 2602: 2599: 2597: 2594: 2592: 2589: 2587: 2584: 2583: 2582: 2579: 2575: 2572: 2571: 2570: 2567: 2563: 2560: 2558: 2555: 2553: 2550: 2548: 2545: 2544: 2543: 2540: 2538: 2535: 2533: 2530: 2528: 2525: 2523: 2520: 2518: 2515: 2513: 2510: 2508: 2505: 2503: 2502:Pulp necrosis 2500: 2498: 2495: 2491: 2488: 2487: 2486: 2483: 2479: 2476: 2475: 2474: 2471: 2469: 2466: 2462: 2461:Dens in dente 2459: 2458: 2457: 2454: 2450: 2447: 2446: 2445: 2442: 2440: 2437: 2435: 2432: 2430: 2427: 2423: 2420: 2419: 2418: 2415: 2411: 2408: 2407: 2406: 2403: 2401: 2398: 2396: 2393: 2391: 2388: 2386: 2383: 2381: 2378: 2374: 2371: 2370: 2369: 2366: 2364: 2361: 2359: 2356: 2354: 2353:Discoloration 2351: 2349: 2346: 2344: 2341: 2339: 2336: 2334: 2331: 2327: 2324: 2323: 2322: 2319: 2317: 2314: 2312: 2309: 2305: 2302: 2301: 2300: 2297: 2295: 2292: 2290: 2287: 2285: 2282: 2281: 2278: 2273: 2269: 2265: 2261: 2256: 2252: 2242: 2239: 2237: 2234: 2232: 2229: 2225: 2222: 2221: 2220: 2217: 2215: 2212: 2210: 2207: 2203: 2200: 2198: 2195: 2193: 2190: 2189: 2188: 2185: 2183: 2180: 2178: 2175: 2171: 2168: 2167: 2166: 2163: 2159: 2156: 2155: 2154: 2151: 2149: 2146: 2142: 2139: 2137: 2134: 2132: 2129: 2127: 2124: 2122: 2119: 2117: 2114: 2111: 2109: 2106: 2104: 2101: 2098: 2097: 2096: 2093: 2091: 2088: 2086: 2083: 2081: 2078: 2076: 2073: 2071: 2068: 2066: 2063: 2061: 2060:Lichen planus 2058: 2056: 2053: 2051: 2048: 2046: 2043: 2041: 2038: 2036: 2035:Herpes zoster 2033: 2031: 2028: 2026: 2023: 2021: 2018: 2016: 2013: 2011: 2010:Fordyce spots 2008: 2006: 2003: 1999: 1996: 1995: 1994: 1991: 1989: 1988:Erythroplakia 1986: 1984: 1981: 1979: 1976: 1974: 1971: 1969: 1966: 1964: 1961: 1959: 1956: 1954: 1951: 1949: 1946: 1944: 1941: 1939: 1936: 1935: 1932: 1928: 1924: 1919: 1915: 1905: 1902: 1900: 1897: 1895: 1892: 1890: 1887: 1885: 1882: 1880: 1877: 1875: 1872: 1871: 1868: 1864: 1859: 1855: 1845: 1842: 1840: 1837: 1835: 1832: 1830: 1827: 1825: 1822: 1820: 1817: 1813: 1810: 1808: 1805: 1803: 1800: 1799: 1798: 1795: 1793: 1790: 1788: 1785: 1783: 1780: 1778: 1775: 1773: 1772:Caviar tongue 1770: 1768: 1765: 1763: 1762:Ankyloglossia 1760: 1759: 1756: 1752: 1747: 1743: 1733: 1730: 1728: 1727:Sun poisoning 1725: 1723: 1720: 1718: 1715: 1713: 1710: 1708: 1705: 1703: 1700: 1698: 1695: 1693: 1690: 1686: 1683: 1681: 1678: 1676: 1673: 1672: 1671: 1668: 1667: 1664: 1660: 1655: 1651: 1647: 1640: 1635: 1633: 1628: 1626: 1621: 1620: 1617: 1604: 1600: 1599: 1595: 1592: 1591: 1587: 1583: 1582: 1579: 1574: 1570: 1554: 1550: 1546: 1542: 1538: 1534: 1530: 1526: 1525:Dental Update 1522: 1515: 1513: 1511: 1502: 1498: 1493: 1488: 1484: 1480: 1476: 1472: 1468: 1464: 1460: 1453: 1451: 1449: 1447: 1432: 1428: 1422: 1420: 1411: 1407: 1402: 1397: 1393: 1389: 1386:(S1): 55–59. 1385: 1381: 1377: 1370: 1368: 1359: 1352: 1340: 1332: 1326: 1322: 1315: 1313: 1311: 1309: 1307: 1298: 1294: 1289: 1284: 1280: 1276: 1272: 1268: 1264: 1257: 1249: 1245: 1241: 1237: 1233: 1229: 1225: 1221: 1217: 1213: 1206: 1204: 1195: 1191: 1186: 1181: 1177: 1173: 1168: 1163: 1159: 1155: 1151: 1144: 1142: 1140: 1131: 1127: 1122: 1117: 1113: 1109: 1106:(S1): 63–71. 1105: 1101: 1097: 1090: 1088: 1086: 1084: 1082: 1080: 1071: 1067: 1062: 1057: 1053: 1049: 1045: 1041: 1037: 1030: 1028: 1026: 1024: 1022: 1013: 1009: 1005: 1001: 994: 986: 982: 977: 972: 968: 964: 961:(S1): 53–54. 960: 956: 952: 945: 943: 941: 939: 937: 935: 933: 924: 920: 915: 910: 905: 900: 896: 892: 888: 881: 879: 877: 875: 873: 864: 860: 855: 850: 845: 840: 837:(4): 218–24. 836: 832: 828: 821: 819: 817: 815: 813: 811: 809: 807: 805: 803: 801: 799: 797: 795: 793: 776: 770: 754: 748: 744: 734: 731: 729: 726: 725: 719: 717: 707: 703: 699: 695: 691: 689: 685: 679: 676: 666: 663: 658: 646: 645: 641: 640: 636: 635: 631: 629: 626: 625: 622: 621: 617: 616: 612: 611: 607: 605: 601: 598: 595: 594: 591: 589: 585: 584: 580: 579: 575: 574: 570: 569: 565: 564: 560: 559: 555: 554: 550: 547: 546: 543: 542: 538: 537: 536:Zinc chloride 533: 532: 528: 527: 523: 521:precipitation 520: 517: 516: 513: 512: 508: 505: 504: 500: 497: 496: 491: 488: 485: 481: 477: 473: 470: 466: 461: 459: 458:meta analysis 455: 449: 447: 443: 439: 435: 431: 427: 423: 418: 416: 412: 408: 398: 396: 392: 388: 382: 379: 375: 364: 361: 351: 349: 345: 340: 336: 332: 328: 324: 320: 315: 313: 309: 296: 293: 289: 286: 283: 282:Tooth damage: 280: 276: 273: 269: 266: 265: 264: 261: 259: 255: 251: 247: 242: 240: 236: 231: 227: 223: 218: 214: 210: 206: 202: 198: 194: 189: 186: 184: 179: 176: 172: 167: 163: 161: 152: 147: 139: 130: 124: 121: 118: 115: 111: 108: 105:Electrical – 104: 101: 100: 99: 90: 88: 84: 79: 77: 73: 69: 65: 61: 57: 53: 45: 42: 40: 36: 32: 28: 23: 3485: 3412: 3348:Sialadenitis 3307: 3259: 3124:Scissor bite 3119:Retrognathia 3104:Overeruption 3084:Malocclusion 3057: 2937: 2896: 2887:Micrognathia 2840: 2831:Periapical, 2717:Desquamative 2641: 2622:Periodontium 2596:Acid erosion 2537:Taurodontism 2468:Open contact 2380:Enamel pearl 2348:Dilaceration 2337: 2311:Concrescence 2112: 2099: 1926: 1879:Cleft palate 1839:Microglossia 1834:Macroglossia 1819:Glossoptosis 1717:Microcheilia 1712:Macrocheilia 1596: 1584: 1531:(1): 33–42. 1528: 1524: 1466: 1462: 1434:. 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Index

Specialty
Dentistry
dental pain
dentin
osmotic
dental disease
electric pulp testers
periodontal scaling and root planing


odontoblast
hydrodynamic theory
pulp
mechanoreceptors
odontoblasts
gingival recession
tooth wear
cementum
chronic periodontitis
acid erosion
gastroesophageal reflux disease
bulimia
dental bleaching
tobacco
abfraction
periodontal disease
abrasion
gingiva
allodynia
hyperalgesia

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